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Regulatory Coordinator

Job Summary

Michigan Medicine is seeking a Regulatory Coordinator for the Physician Organization of Michigan ACO, LLC (POM ACO). The Regulatory Coordinator will be part of the administrative support team for the Medicare Shared Savings Program (MSSP) Accountable Care Organization (ACO).

The Regulatory Coordinator will report to the POM ACO Chief Operating Officer and actively collaborate with the POM ACO Compliance Officer, staff members, and various external partner organizations.

Under general direction, s/he is responsible for supporting compliance with internal and external regulations and processes across multiple stakeholders and committees. The Regulatory Coordinator must be highly detail oriented and able to manage multiple assignments from start to finish and assume ownership of project success.

In particular, the Regulatory Coordinator will be responsible for processing all annual participation agreements between POM ACO, participating providers, and CMS. Further, the Regulatory Coordinator will maintain complete and accurate records of provider participation, lead monthly provider reconciliation and annual CMS attestation processes, which requires coordination with all participating organizations. This works requiring a detail-oriented approach with an emphasis on completeness, accuracy, and adherence to federal CMS guidelines.

In addition, the Regulatory Coordinator will support the POM ACO Compliance Program by working closely with the Compliance Officer and facilitating the POM ACO Compliance Committee. As part of this compliance program support, this position also maintains updated policies and facilitates access to POM ACO resources that require authentication, and maintains documentation for conflicts of interest, data sharing and completed trainings.

We anticipate ongoing opportunities for growth and development. For example, the position will provide support, to a lesser extent, similar value-based care programs that Michigan Medicine participates in through the Centers for Medicare and Medicaid Services (CMS). We are seeking to fill this position with an individual who can successfully execute assigned tasks while being open to other tasks as organizational needs arise.

Mission Statement

Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.

Why Join Michigan Medicine?

Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in 1850. Michigan Medicine is comprised of over 30,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world’s most distinguished academic health systems. In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good.

What Benefits can you Look Forward to?

+ Excellent medical, dental and vision coverage effective on your very first day

+ 2:1 Match on retirement savings

Responsibilities*

Annual Participation Agreements (30%)

+ Maintain primary responsibility for timely and accurate submission to CMS, including via the CMS electronic documentation tool, ACO-MS

+ Develop project timelines to ensure adherence to CMS deadlines

+ Support development of provider participation requirements

+ Lead annual provider enrollment and application processes, including the development of provider communication materials and instructions

+ Develop and maintain processes to collect necessary information from new and existing participants; extract, summarize, and utilize such data to compile agreements and other documents

+ Lead provider termination and merge/acquire documentation

+ Support maintenance of necessary documentation for any applicable waivers under POM ACO participation with MSSP

+ Execute procedures with a high degree of accuracy

+ Recommend process improvement opportunities

Maintain Accurate Records of Provider Participation (20%)

+ Administer monthly provider reconciliation process with all partner organizations, and submit updates to CMS

+ Work with Quality Analytics to utilize provider participation information for data reporting and analyses

+ Create and/or modify existing organizational processes to improve efficiency and compliance with internal and external requirements

Support POM ACO Compliance Program (20%)

+ Facilitate the POM ACO Compliance Committee, including development of meeting agendas and materials, managing action items, and providing updates to the POM ACO Board of Managers on committee outcomes

+ Partner with the Compliance Officer to develop committee goals and workplan, and oversee policy and process audits

+ Maintain record keeping of ACO policies and procedures managed by the Compliance Program, as well as ACO agreements with participants, vendors and other partners

+ Assist in interpreting CMS regulatory processes and updates in order to assure compliance with internal processes

ACO Project Management (20%)

+ Support the Post-Acute Care Committee and goals in partnership with the Senior Manager of Clinical Programs

+ Manage the creation and dissemination of the yearly POM ACO Welcome Guide and quarterly Newsletter in coordination with the POM ACO project managers and leadership team

+ Facilitate access to POM ACO resources in coordination with internal and external partners and resource owners when needed

Other Duties as Assigned (10%)

Overall Responsibilities

+ Hold primary responsibility for managing and updating POM ACO?s ACO-MS account, the CMS electronic documentation tool.

+ Coordinate with provider partners to accomplish tasks, facilitating activities to achieve success and deadlines.

+ Establish and maintain an excellent working relationship with ACO partners, staff, and committee members.

+ Develop and present executive-level materials to the Board, Committees, and other stakeholders.

+ Ensure Quality Control support for processes as needed

Support adherence to CMS quality standards, rules and regulations.

Proactively identify issues and make recommendations

Exhibit the highest level of professionalism and responsibility.

Required Qualifications*

+ **Education:** Bachelors degree, or similar combination of education and experience.

+ **Project Management:** At least 2 years of project management experience. Ability to plan and execute multiple assignments from start to finish.

+ **Process Management & Documentation:** Process-oriented with the ability to quickly identify and communicate stepwise processes. Excellent documentation skills and ability to turn complex situations into clear written process flows.

+ **Investigative Approach to Problem Solving:** Proven ability to identify improvement opportunities and propose solutions.

+ **Technical:** Expert knowledge of Microsoft Office products (including Access, Word, Excel, PowerPoint, Visio), as well as other database, email, and calendar software.

+ **Analytical:** Highly skilled in manipulating large spreadsheets of data to extract, summarize, and leverage information.

+ **Communication and Relationship Building:** Demonstrated excellent communication skills, both written and oral. Ability to foster strong, positive relationships with both internal and external stakeholders.

+ **Multi-Tasking:** Ability to execute multiple complex initiatives. Ability to set priorities, handle multiple deadlines and display excellent judgment and high level of professionalism.

+ **Teamwork:** Strong interpersonal and organizational skills. Ability to work independently and collaboratively in a team environment.

+ **Work Style:** A high degree of initiative, resourcefulness, and the ability to anticipate needs. Demonstrated accountability and ownership of responsibilities. Proven ability to maintain the strictest level of confidentiality. Ability to successfully navigate changing priorities.

Desired Qualifications*

+ Experience with SignNow and Qualtrics or other electronic signature and survey platform(s).

+ Ability to support process improvement, e.g. Lean training, familiarity with Visio, etc.

+ Experience in health care administration highly preferred.

+ Experience in the ACO and/or Medicare environment is a plus.

Modes of Work

Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about thework modes (https://hr.umich.edu/working-u-m/my-employment/ways-we-work-resource-center/ways-we-work-implementation-group/modes-work) .

Background Screening

Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.

Application Deadline

Job openings are posted for a minimum of seven calendar days. The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled anytime after the minimum posting period has ended.

U-M EEO Statement

The University of Michigan is an equal employment opportunity employer.

Job Detail

Job Opening ID

262994

Working Title

Regulatory Coordinator

Job Title

Admin Coord/Project Coord

Work Location

Ann Arbor Campus

Ann Arbor, MI

Modes of Work

Hybrid

Full/Part Time

Full-Time

Regular/Temporary

Regular

FLSA Status

Nonexempt

Organizational Group

Um Hospital

Department

MM POM ACO

Posting Begin/End Date

5/13/2025 - 5/27/2025

Career Interest

Administration